NPIMap

Organization Active NPI

Detox Solutions of the Palm Beaches

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1205242047
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS5607 Issued in FL
Legal business name
DETOX SOLUTIONS OF THE PALM BEACHES
Practice address
580 Village Blvd
Suite 210
West Palm Beach, FL 33409-1904
Phone
(561) 491-4171
Fax
(561) 688-9565
NPI assigned
Jul 1, 2014
Last updated
Jul 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David L Liporace, D.ONPI 1184610818
Title
Medical Director
Phone
(561) 491-4171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS5607 FL Primary

Addresses

Primary practice location

580 Village Blvd
Suite 210
West Palm Beach, FL 33409-1904

Mailing address

580 Village Blvd
Suite 210
West Palm Beach, FL 33409-1904
Phone (561) 491-4171

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1205242047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD",
            "address_2": "SUITE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-491-4171",
            "fax_number": "561-688-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD",
            "address_2": "SUITE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-491-4171",
            "fax_number": "561-688-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETOX SOLUTIONS OF THE PALM BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "LIPORACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-491-4171",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS5607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.